MONTCLAIR, CA —
OSHA Injury Report: 0686 - MONTCLAIR CA
Injury · Days away from work
At a glance
On , an injury at 0686 - MONTCLAIR CA in MONTCLAIR, CA 90303 resulted in days away from work. Employee was rTV CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 0686 - MONTCLAIR CA
- Parent company
- Costco Wholesale
- Street
- 9404 CENTRAL AVENUE
- City
- MONTCLAIR
- State
- CA
- ZIP
- 90303
- On-site location
- RECEIVING
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
- Days restricted or transferred
- 87
Before the incident
moving a pallet
What happened
Moving a pallet pallet shifted and reaching or it pulled something
Injury or illness
Strain Sprain Leg Left Side
Object or substance involved
Pallet
Summary line
Strain Sprain Leg Left Side Reaching Pallet
Employee and industry
- Job description
- RTV CLERK
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 319
- Total hours worked
- 471999
- EIN
- 911223280
- Establishment ID
- 1217306
- Employer case #
- WC608G4639
When (timing detail)
- Date of incident
- Shift started
- 13:10:00.000
- Time of incident
- 13:10:00.000
- Submitted
- 04MAR24:19:37:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.